# DELRAY PROSTHODONTICS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental excellence Integrative Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275292286
- **Authorized official:** DR. JOONGSEO KIM D.D.S (OWNER)
- **Authorized official phone:** (703) 587-4865

## Contact information

- **Practice address:** 3116 MOUNT VERNON AVE, ALEXANDRIA, VA 22305-2639
- **Practice address phone:** (703) 745-5496
- **Mailing address:** 3116 MOUNT VERNON AVE, ALEXANDRIA, VA 22305-2639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2021
- **Last updated:** 02/06/2022